NPI 1033609581

Reconnect Wellness Pascagoula LLC

Organisation Preferred Provider Organization Pascagoula, MS

Practice location

Address: 4211 Hospital St STE 114, Pascagoula, MS 39581-5320
Phone: (662) 680-3148
Mailing address: 2844 Traceland Dr, Tupelo, MS 38801-4200

Authorised official

Name: Douglas M Wright
Title: Managing Member
Phone: (662) 680-3148

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1033609581
Entity type: Organization
NPI issued: 10 May 2018
Record last updated: 3 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.